HomeMy WebLinkAboutPermit Sidewalk 1995-6-28
~SIDENTIAL - COMMl;:RCIAL
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225 NORTH FIFTH STICET
SPRINGFIELD. OREGON ~1411
ENGINEERING DIVISION
OfTICE NO. 126-3153
INSPECTION LINE, 126-316~
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ZIP, "!7Lf71 P;.IQNE NO.
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R:SIDa-;7IAL _
CO:-r.-1ERICAL _
5=:COND DR1VEUJ.t...,... (s::::: 7~IC )
R:QUIRES APPLICATI~ FOR A SECOND DRIVEWA,I'T.4.14)
OR A COUNTY ,l.PPLICATI~ FOR FACILITY P;;~IT IC 'l8-203)
IF IN THE UG.5.
DATE O? APPLICATlo-.l
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SPRINGFIELD
-
RECEIPT NO, / garS
CASL;
CH"C< ~
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CT-;::C:<.ED FOR DELlNQ:J::NC1::S" .!:
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~ONORAC'OR
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R:6IS,;<.<.TION NO. ~"'7'
lroRK, TO BE F'ERf'v"", Iz::D BY:_ OCNER
CQN,RAC,OR'* ""7'1 A -r c> J-J r />~<:::1T!..vL:t( O/J
.<DDRESS Z.Y5?~ fj A/f'PoJ!,f.eel.
r~z::vURE FOR IN5A:CTICN REQUE5T:
CALl.. l26-31&~ (R:COR:'DER) STATE YOJR CITY D=SIC::~T=D J09 Nl.t""iS:R, J09 .A!::'OR:5S,"i""'r?: 0:=
INSF'ECTIc::t-l REQUESTED A"'-J:D ~EN YOU UJILL 5: R:::AZ:>Y FOR INSFECTIa-l. CONTRACTORS OR ~~ N,t...""';: .l..'1D
PHONE NUM3ER ICO'JES,S RECEIVED 3=r.....r= 1,00 J..'1 WILL 5E MADE THE SAME DAY. ICQJES,S J..=TER 1,00
A'1 WILL 6E MADE T!-lE NEXT tl.>OR'(lNG DAY
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EXr5TIN:::; 5:JILDINC1 P2~IT NO. (' rr= APPLICA9L= )
YOUR ClOY DESIGNA",D J03 NO. Isf t?~ / I5Cfr
REGlUIRED 1N5F'ECTICN5
[f
SIDEWALK I DRIVEWAY
FOR ALL CONCRETE PAVING WlTf.llN
THE STREET RIG!-lT OF'WAY, TO 5E
M.l.DE ,L"t:"jER ALL EXCAVATlNU
15 COI"'iPLET"E AND FOR11 WO~
A"D SU5-9A5E MATERIAL IS
IN PLACE
D
._ CURS ( APPROACf.l APRO:
A-iER FORi15 AR'E ER.::C7:
6UT PRIOR TO PO;;RING
CO:-JCRETE.
f'i'OE5, SIDEWALKS CUR!3-CUT WALK x'
~10.00 . ~.15/LF. ( X ) ~10.00 . ~.1;:,/LF. ( X ) / "'"
or WALK g
CO:-1MERICAL DRIVEWAYS Sf.lALL I. x' J.
!-lAVE :.' TO 8' FLAIRS
S 3'- 0. STA"DARD .,
TOTAL F'EF<t1IT f'i'OE,
1.. /
l:-l \IE .CARERJLL'f" EXA."'1lNED/TS-!E COMPLETED APPLICATiON FOR PERi1IT, :.,'''.jD DO ~ER::e"'( CE~71F,,( 71--:t.T ALL
INrO~ATION ~EREON 15 TR1JE A"ID CORRECT, A'lD I AJRT;";ER CERTIFY jj.4AT A!\IY ~'-,\D ALL WOR< PE~~ED
Sf.lALL BE DONE IN ACCORDA"CE WITH T!-lE ORDINA"CES OF THE CITY OF SPRINGFIELD. AND TH: LAC.l5 OF THE
STATE OF OREGON PERTAINING TO THE WORK DE5CRI5ED HEREIN, A"D T!-lAT NO OCCUPA"CY WILL 5E MADE
OF ~",y 5TRUCTU~ llJrr;~OJT PE~1551~ or: THE BUILDrNG DIVl510tt I FUR'7l-1ER CERTIFY 7;...l~T ONL "f' co-..,~CTO~5
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